| NPI | 1386176105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: KS 4011) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MO 2014028362) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |